It is only a short time since the Marine-Hospital Service authorities reported that there were 278 lepers in the United States, this presumably being the total number among us, the majority being credited to Louisiana and Minnesota, where the disease has long been known to exist. Dr. A. S. Ashmead2 disputes these figures and gives details of omissions in his own personal knowledge. Thus, instead of seven cases only in the State of New York he claims to know of sixteen in New York City alone, in Michigan where none were reported he has knowledge of three cases, and more or less similar facts in other states. Oregon did not report 100 lepers who are on record in Japanese immigration statistics as having gone there, and the New Orleans Picayune gives 400 as residing in Louisiana, where the government figures allow only 155. Other specialists, he says, have knowledge